# MEIJER STORES LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meijer Pharmacy \#276
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942664503
- **Authorized official:** JASON BEAUCH R.PH (VP OF PHARMACY MERCHANDISING)
- **Authorized official phone:** (616) 791-3169

## Contact information

- **Practice address:** 801 E SUNSET DR, WAUKESHA, WI 53189-7816
- **Practice address phone:** (262) 899-6010
- **Practice address fax:** (262) 899-6065
- **Mailing address:** 2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 10/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100057519 | — | WI |